Epworth Sleepiness Scale

Epworth Sleepiness Scale

Please download the below form, print it out and bring it to your appointment.

Epworth Sleepiness Scale Form

Please print this page and bring with you to your appointment.

INSTRUCTIONS: How likely are you to doze off or fall asleep in the following situations, in contrast to just feeling tired? Use the scale below to rate the likelihood that you would doze off or fall asleep (in contrast to just feeling tired) during that activity. If you haven’t done some of these things recently, consider how you think they would affect you. Use the following scale to choose the most appropriate number for each situation.

0 = would never doze
1 = slight chance of dozing
2 = moderate chance of dozing
3 = high chance of dozing

SITUATIONS before treatment after treatment
Sitting and reading
Watching television
Sitting inactive in a public place
(e.g. a theater or a meeting)
As a passenger in a car for an
hour without a break
Lying down to rest in the afternoon
when circumstances permit
Sitting and talking to someone
Sitting quietly after a lunch
without alcohol
In a car, while stopped for a few
minutes in traffic

You have a high chance of having sleep apnoea if you score 10 or more.
If your score is 10 or higher, consider discussing these results with Dr Deutsch.

The Epworth Sleepiness Scale is a very useful screening test and a strong predictor of sleep apneoa. The higher the score the greater and more severe your sleep apneoa is likely to be.

Following clinical evaluation Dr Deutsch may recommend you consult a Sleep Physician and/or a sleep study for an accurate diagnosis and, if appropriate, effective treatment of an underlying sleep disorder.